By Request, More Thoughts on the Psychiatrist Shortage

Vikram Kumar Rohra, a senior medical student who has own his blog site, Psihub, as for my comments on an article ( "Addressing the Escalating Psychiatrist Shortage" by Stacy Weiner, posted February 13, 2018, AAMC News) about the shrinking psychiatric work force. Part of the challenge is, as Vikram points out, is the graying out phenomenon. … Continue reading By Request, More Thoughts on the Psychiatrist Shortage

National Patient Safety Awareness Week 2018

I saw Dr. George Dawson's post about Dr. Michael Weinstein's commentary entitled "Out of the Straitjacket" in the NEJM published on March 1, 2018. I agree that Dr. Weinstein's experience is compelling and he specifically mentions burnout, a key factor critically important in his depression. Physician burnout fits with National Patient Safety Awareness Week, March … Continue reading National Patient Safety Awareness Week 2018

The Geezer is “Not Meeting MOC Requirements”

I enjoyed reading Dr. George Dawson’s recent blog post on Maintenance of Certification (MOC) in which he supports the principle of lifelong learning while questioning the American Board of Medical Specialties (ABMS) attempt at modeling the principle, known as MOC. I applaud his decision to participate in the alternative certification board, the National Board of … Continue reading The Geezer is “Not Meeting MOC Requirements”

On The American Psychiatric Association Elections 2017…And Other Thoughts

Today is the last day American Psychiatric Association (APA) members can vote in the 2017 election. Even though I am not a member, I've gotten email messages from one candidate, Dr. Brian Crowley, MD, who is running for APA Secretary. One of his main campaign issues is abolishing Maintenance of Certification (MOC). When I asked … Continue reading On The American Psychiatric Association Elections 2017…And Other Thoughts

Time to Scrub MOC

It's time to scrub Maintenance of Certification (MOC). I see the American Psychiatric Association (APA) candidates for President (Dr. Rahn Kennedy Bailey, M.D.) and Secretary (Dr. Brian Crowley, M.D.) are running for office based partly on platforms that promise to “abolish MOC.” I’ve inquired about their specific plan for doing so. My question to both … Continue reading Time to Scrub MOC

ABPN MOC Delirium PIP Finally A Real Thing. Yeesssssss.

Remember that Maintenance of Certification Delirium Performance in Practice (PIP) tool? It's a real thing now. It was approved about a year ago and it has finally been published on the American Board of Psychiatry and Neurology (ABPN) website. One of our top residents, Dr. Emily Morse, D.O., helped me put this thing together. Yes, … Continue reading ABPN MOC Delirium PIP Finally A Real Thing. Yeesssssss.

CPCP: An Update: Buprenorphine vs Methadone in Pregnancy by A Medical Student

One of our senior medical students rotating on the psychiatry consultation service delivered an outstanding Clinical Problems in Consultation Psychiatry (CPCP) presentation updating a previous medical student CPCP review on buprenorphine vs methadone in managing opiate addiction in pregnancy. The literature supports using buprenorphine overall; however, concerns remain about the risk for relapse to opiate … Continue reading CPCP: An Update: Buprenorphine vs Methadone in Pregnancy by A Medical Student